Stefan a. Ploszak DDS, PA

Primary specialty

DentistTaxonomy code 122300000X

License

8395 Issued in NC

Legal business name

STEFAN A. PLOSZAK DDS, PA

Practice address

3321 Zelda LN
Matthews, NC 28105-3888

Phone

(704) 575-4268

NPI assigned

Aug 15, 2009

Last updated

Aug 15, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stefan A. Ploszak, DDS

Title

Owner

Phone

(704) 575-4268

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250294400000",
    "number": "1144452772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 ZELDA LN",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281053888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 ZELDA LN",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281053888",
            "telephone_number": "704-575-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEFAN A. PLOSZAK DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-15",
        "last_updated": "2009-08-15",
        "status": "A",
        "authorized_official_last_name": "PLOSZAK",
        "authorized_official_first_name": "STEFAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-575-4268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "8395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Matthews, NC
• Providers in Matthews, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.